The National Transgender Health Summit provided a multidisciplinary program presenting cutting edge research in transgender health and evidence-based clinical training curricula for healthcare providers of all backgrounds.

Caterpillar to butterfly: A metamorphosis concept for identity and health risk among transgender
women in the U.S.-Mexico border region
Immigrant transgender Latinas in North Carolina: Exploring the health priorities of an emerging
population through photovoice
Immigrant transgender Latinas in New York City — resiliencies, vulnerabilities, and health disparities
Substance abuse in the Peruvian trans women population living with HIV/AIDS (PLWHA)

Expanding gender boundaries: Teens talk about their world. Retrospective research of the transgender experience during adolescence:
Implications for school counselors. Baseline characteristics of transgender youth naïve to cross-sex hormone therapy
DISCUSSION/SIGNIFICANCE OF IMPACT: Transgender youth are aware of the incongruence between their internal
gender identity and their assigned gender at early ages. Levels of depression and suicidality demonstrate that
youth need timely and appropriate intervention. Evaluation of these youth over time will help determine the impact of cross sex hormones and mental health therapy

Transgender care for the primary care provider: Part 1
These sessions are a comprehensive primer for medical providers new to caring for transgender and gender nonconforming populations, this session will consist of two consecutive 90 minute sections. Topics to be covered include cultural sensitivity, capacity building, cross-sex hormone management, primary care and screening, models of intake and care, and a didactic case based discussion. This evidence-based curriculum is designed to provide the foundation necessary for the provider who desires to become competent in the clinical care of transgender patients.

Audio CDs: 2

$15.00

$20.00

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Medical Training: Advanced – Endocrinology – Part I

Speakers: Josh Safer, MD, FACP / Madeline Deutsch, MD

Endocrinology in transgender care/Topics in transgender care: Part 1
This endocrinologist-led session will be presented remotely and will review basic hormonal physiology with particular attention to hormone therapy in transgender patients; Dr. Safer will discuss interpretation of existing evidence on various hormone regimens including postoperative implications. Care of transgender patients with co-existing disease will be discussed. Topics in transgender care, Part 1 will include discussion of cancer screening,
cardiovascular health, and bone health.

Audio CDs: 1

$15.00

$10.00

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Mental Health 1 – Overview of Mental Health Assessment & Care

Speakers: Lisette Lahana, LCSW

Clinicians will develop an understanding of terms related to sexuality, gender identity, biological sex and the process of a gender transition. We will discuss diagnosis, treatment planning and how to be a trans affirmative provider. Participants will leave with greater awareness of how to assess their client’s stage of identity development and the course of treatment
with clients desiring transition. The presentation will include case vignettes, video clips and group discussion.

The panel will present WPATH’s international education efforts, a project to train Canadian health workers in trans care, and trainings developed to train the entire staff of the San Francisco Department of Public Health.
Creating trainings for 14,000 health care workers in a public health department: What we’ve learned so far.
Creating standardized transgender health training programs across Canada.
WPATH global education initiative

Challenges and work-arounds in implementation.
We will discuss the continuing barriers to access reported by healthcare providers and patients alike both in inclusive
plans and those with exclusions: challenges in prior authorization and claims processing, limited provider networks,
and outdated insurer medical guidelines. We will provide information on documentation, procedure and diagnosis
codes so providers can minimize denials and succeed with billing and appeals, and discuss strategies for direct
advocacy with insurers.
We will continue with an overview of progress towards inclusion, best practices and indispensable advocacy tools
such as the Human Rights Campaign (HRC) Equality Indexes (MEI, CEI) and professional association interventions.
Comparing progress towards trans*-inclusive benefits in the healthcare industry with other professional sectors. The role healthcare providers can play in eliminating exclusions in their own sector. Outdated
medical policies currently used by most insurers remain a central barrier. We will discuss our draft “Model Guideline” and issues posed by utilization management systems. We will also look at the progress made by the Healthy San Francisco program, and by Kaiser Permanente.

Moderated roundtable discussion on the various gender affirming surgical procedures available to transgender woman and men presented by surgeons who are active in gender confirmation surgery and have expertise in these procedures.

These sessions are a comprehensive primer for medical providers new to caring for transgender and gender nonconforming populations, this session will consist of two consecutive 90 minute sections. Topics to be covered include cultural sensitivity, capacity building, cross-sex hormone management, primary care and screening, models of intake and care, and a didactic case based discussion. This evidence-based curriculum is designed to provide the foundation necessary for the provider who desires to become competent in the clinical care of transgender patients.

These sessions will cover a range of primary care topics and will be oriented towards those providers who already have some level of comfort and experience in the care of transgender patients. Individual topics will be explored in
depth with a focus on current evidence. Subject areas include fertility, HIV and antiretroviral-hormone interactions, FTM gynecology, care of genderqueer patients, use of silicone, and issues of particular concern to transgender persons of color.

The Affordable Care Act is the biggest reform of America’s health care system in more than 40 years. The law makes many changes that have the potential to help transgender people stay healthy and to promote the well-being of transgender communities. Some of these changes include making health insurance coverage more affordable and comprehensive, expanding access to HIV prevention and treatment services, and building the knowledge base
about transgender health. But the full potential of the law won’t be realized unless transgender people and our allies are engaged in turning the health reform law into reality for our communities. In this session, health policy experts and health care providers will explain the highlights and key challenges of health reform and engage in a discussion of how transgender advocates can leverage the law’s reforms to advance transgender health priorities.

Audio CDs: 1

$15.00

$10.00

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Mental Health 2 – Research for Clinicians/Sexual Medicine

Speakers: Walter Bockting, PhD, Gail Knudson, MD, Jaime Veale, PhD

The effects of hormones and surgery on sexual function Sexual functioning in transgender people

Use of dermal-fat grafts for augmentation of labia majora in a transgendered woman, Costs and benefits to employers of providing transition-related health care coverage to employees, Genital surgery outcomes of transsexual males

Transgender people are increasingly asserting their right and desire to have families and children, raising new policy
and medical questions for providers and advocates. This session will explore a range of options and implications for
reproductive rights, fertility, and family structure from both provider and advocate perspectives.

Audio CDs: 1

$15.00

$10.00

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Plenary - WPATH’s Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People: Version 7- An Overview.

Speakers: Eli Coleman, PhD

An overview of Version 7 of the WPATH’s Standards of Care which was just released in 2011. Version 7 represents a significant shift from previous versions of the
Standards of Care. The presentation will describe the process of preparing this historic revision
and highlight the significant changes. There will be opportunity for discussion of the Standards
and its applicability to clinical care and an opportunity to provide feedback to WPATH officials

Harm reduction model for treatment of MTF transsexuals below the poverty line, We have a hard time treating your kind here: Negative health experiences of transgender women in San Francisco, Socio-economic barriers to accessing gender-confirming care, Heading the call: An OBGYN’s role in female-to-male transgender (FTM) patient care

Audio CDs: 1

$15.00

$10.00

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Special Topics – Trans Training Tools

Speakers: Emilia Dunham, BA; Harvey Makadon, MD

Affirmative care for transgender and gender non-conforming people: Best practices for front-line
health care staff
In collaboration with trans health care providers, researchers and front-line staff, the National LGBT Health Education Center at The Fenway Institute created a helpful tool of best practices for front-line health care staff to provide affirmative care for transgender and gender non-conforming individuals. Our needs assessments and review of available research reveal a great need for front-line staff to learn how to appropriately and sensitively communicate with transgender patients. With increased need for health centers and other health care organizations to become more culturally competent in providing affirmative services for transgender clients, this tool addresses the often overlooked best practices for training front-line staff.

Audio CDs: 1

$15.00

$10.00

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Special Topics – Rectal Microbicides

Speakers: Ian McGowan, MD, PhD; David Nalos

HIV prevention that Gels: Rectal microbicides for transgender communities. These voices are vital to shape a rectal microbicide research agenda that is inclusive and responsive to the needs
of transgender communities. During this session, experts will provide an in-depth and up-to-date discussion of the
science, community challenges, and advocacy related to rectal microbicides as an alternative HIV prevention strategy for transgender people who practice anal sex. Attendees will have an opportunity to view a newly launched educational video on rectal microbicides, and leave with new knowledge about the status of HIV prevention research and how to overcome
the barriers that may be preventing transgender communities from becoming involved in this promising research area.

Audio CDs: 1

$15.00

$10.00

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Medical Training: Basic – Care of Transgender Children and Adolescents

This session is an introduction for the medical provider who is new to caring for trans and gender nonconforming
children and adolescents. Topics to be covered include care and social transition for children, puberty blocking and peri-pubertal clinical decision making, early through late adolescent care including cross-sex hormones, as well as a discussion of the biology of gender. Special emphasis will be made on the multi-disciplinary approach as well as
important mental health considerations for youth.

This session will cover a range of surgical topics of interest and concern to the primary care provider. Topics to
be discussed include preoperative medical evaluations and clearances, common postoperative problems, medical
implications of surgery, as well as an update on current surgical treatment paradigms and options.

Constructing a multidimensional model of gender identity and expression sensitive to the diversity of experiences within the transgender and gender non-conforming spectrum, This is my life today: A portrait of transgender women of color in New York City, Mental health among transgender women of color: A view on combined discrimination and transgender identity

Morbidity and mortality in a transgender hormone treated patient population: Preliminary data, Transgender older adulthood and end of life concerns, Health and aging among LGBT older adults: Risks and resiliencies

Strengths and challenges from PS 11-1113 grantees adapting HIV prevention interventions for trans
women of color. Highlight the successes of six grantee organizations funded by CDC to implement evidence-based behavioral HIV prevention interventions and public health strategies with transgender women in Baltimore, Detroit, New York, Oakland, and Washington DC. Challenges will also be identified; and subject matter experts and peers will discuss strategies for overcoming barriers to successful implementation.

This session will cover a range of surgical topics of interest and concern to the primary care provider. Topics to
be discussed include preoperative medical evaluations and clearances, common postoperative problems, medical
implications of surgery, as well as an update on current surgical treatment paradigms and options.

This session will serve as a capstone to the two day clinical training track and will involve an in-depth discussion of
a range of complex cases in both pediatric and adult patients. A panel comprised of course faculty will take turns
reviewing and moderating case discussions.

ICD 11 promises dramatic changes in diagnosis, including removal of Transsexualism from the mental disorders
section, and a narrowing of the paraphilic disorders. Some controversies persist, in particular the inclusion of Gender
Incongruence of Children. Proposals for ICD 11 will be presented by WHO staff and committee members responsible for the proposals, and discussed by others involved in diagnostic change.

Audio CDs: 2

$15.00

$20.00

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Mental Health 2 – Culturally Competent Care for Trans People of Color

Speakers: Willy Wilkinson, MPH

In this interactive workshop, participants will explore the varied complexities of gender identity and expression,
develop tools for providing culturally competent care for diverse client populations, and identify trans-inclusive
policies and procedures to ensure equal access on an organizational level.

This session will include presentation of cases from community mental health/public health settings. These cases
will highlight strategies for engaging and supporting people through the process of transition while simultaneously
addressing multiple psychosocial challenges.